Long Delay On My Claim
It’s appalling to see that Medibank keeps holding up my claims for months now. After my surgery I submitted my bills expecting that they would react fast & settle the claims. But so far it’s dragging without any clue that they may pay my claims.
Medibank being a one of best reputed insurers in Australia has to work differently than this when they cater to their clients. Their service has to be focused on the interest of the clients. That’s essential but as I have understood that does not reflect on their service. That they have to improve fast for the betterment of their clientele.
Limited claim options online
I have an ambulance claim I wanted to claim quickly so I jumped online. It wasn't obvious to me how to make such a claim. There was a "hospitals" option which required downloading, filling out, and posting a paper form. I thought to myself, "you can't be serious, it's 2020". So I called, and sure enough you do need to it the old fashioned way. Come on Medibank, you can do better. And now after reading the reviews here, I'm feeling anxious as to whether Medibank will honour my claim.
Poor customer service
I have been with medibank for a few years and never have a great experience with their customer service, but their offer of cover seems to suits me so I accept that anyways. Until today after contacting them to review my cover, their response makes me feel I am the one who needed them and they did not bother to be friendly at least, at the end they suggest me just to move to other provider, not even sorry. I am aware I have the right to question, comparing and reviewing my cover, but did not expect to be treated so invaluable. Maybe pandemic with people work from home affect their customer service quality, I don't know. Just thought I have to share this for the sake of customer rights.
Peridontic Claim (Taking the company to the health ombudsman)
I have a very high cover 90% rebatable if I go to a member's choice. Have been a member for 20 plus years with maxiumum equity built up over many years on the cover. I recently went to a peridontist and was quoted over $1000 to get my gum cleaned. I rang around other peridontist and they were roughly the same price. In my desperation I turned to Medibank to see if I could use one of their member's choice providers so I could maximize my claim. They DONT HAVE ONE My question to Medibank is if you dont have one how do you decided what is a reasonable amount to REBATE???
Total crap will be taking it up further and I suggest other members should as well
Unhappy Medibank customer
I am leaving a feedback for Medibank Private after finding their customer service has gone from bad to worse in recent months. I have been trying to resolve a complaint for the past 5 months, after getting incorrect advice over the phone and inundated with correspondence, all containing various errors that I had already corrected over the phone, errors such as an incorrect email address for dependent and dependants wrongly removed & subjected to serve a further waiting period. I have found Medibank sales consultants are not adequately trained. ...They are good at enticing new members rather than looking after the needs of loyal existing members. After 5 months of lengthy phone calls, our cover is yet to be updated. I was assigned a ‘case manager’ on 30 June 2020 who I was told had delegation to update system errors and help resolve disputes. I received a call from At[Name Removed] @ Medibank who I found equally incompetent, with poor negotiating and listening skills, unhelpful, abrupt, arrogant and unwilling to accept errors by Medibank. His responses were: 1. I know you have things to say but I have 30 other complaints to deal with; 2. You are welcome to switch to another provider if you are not happy; 3. If you are going to make a complaint to the Ombudsman’s Office than you shouldn’t be talking to me; 4. I am the superior, no, you can’t speak to anyone else; 5. Do you want me to cancel your policy, I can do that right now! I don't think the arrogance of one person is a fair representation of Medibank Private and trust this feedback is viewed by Medibank as an opportunity to improve on service delivery as well as help resolve my complaint fairly and efficiently. I have been a member for 20+ years and have paid my premiums on time. I would like reliability and certainty with my insurance.
Medi Claim for GP Consultations
Thank you for assisting me with medical care. As you can imagine, this process is very emotionally draining on the situation. However, the cooperation of the fine staff at Medibank makes it a little easier.
At this time, I would like to request that Medibank review the category that Dr. Helmy's services have been placed into. It appears that I am being charged a copay for GP consultation and treatment as a health service when in reality he provides me with a blood test and ECG. Please review this issue and kindly pay consultations fees.
Thank you in advance for your cooperation and assistance.
Don't know why
Don't know why I stay with them .The fees keep going up with nothing extra added . Can't even have a massage covered.Nib is no different . got a quote ,it was about the same.
Want to upgrade policy? Don't bother
Called to upgrade extras cover going forward. Got told have to serve 2&6 month waiting periods again. New customers get them waived but loyal customers have to reserve them. Got told to join another fund for 31 days and then transfer back to get the new customer waiving of these periods.
Happy to take 6 months of premiums to have you wait for eligibility but any joe blow can sign up and be instantly eligible.
Seems a bit unfair to throw mud in the face of longstanding customers.
Out of Pocket fees for Diagnostic services’
Recently i was at a Private hospital. I have the Medibank top hospital cover. Today I got heap of Bills form Clinical labs or Diagnostic services ( for blood tests). For example, one invoice total fee is $235. Medibank has paid only $17,66 and Medicare $52.99. So I’m out of pocket of $164.35. I found out that if I had Bupa , I would have not paid any out of pocket fee.
Also I was told Medibank recently changed their policy on “Out of Pocket fees for Diagnostic services’ . So i think when it comes to Out of Pocket fees for Diagnostic services, Medibank is really costly. Can Medibank shed some light on this for all Medibank policy holders?. Thanks.
Loyalty rewarded with more expenses
I've been with Medibank for just over 30 years, ever since I was a child when my parents were with Medibank. Back then it was a Government enterprise, offering a customer first operation.
Ever since the privatisation and IPO, the service and products offered have literally been up and down. My premiums have been consistently rising, as one would expect with percentages just below CPI. My claim limits offered on services are another story. In 2016 I was pleasantly surprised when my extra limits rose, almost doubling what I could claim, this was...
Frustrated and unhappy!
I’m writing this review in desperation as I am continuing to receive emails and txt messages requesting payment of invoices for an amount which INCLUDES the Govt $ rebate. (see attached)
I’ve also rung Medibank several times and spent hours trying to resolve this issue to no avail.
Really getting frustrated with Medibank and will cancel my policy unless something is resolved permanently.
I need the following resolved permanently:
1. The Govt Rebate be applied so I know the correct $ to have available in my account
2. When will the $ be coming out of my account. ...
Our band cover does not exist
After being with medibank private for over 12 years and needing a knee replacement to find out the band we were under doesn't exist or cover the knee replacement so have changed our cover to with medibank paying less than we have been paying for a cover for knee replacement but now have to wait 12 months. Very disappointing that when a cover doesn't exist any more that you contact people and let them know so they can adjust their covers to suit. Not happy what about a loyalty system.
Beware of pathology gaps
Be aware that Medibank DO not cover you fully for pathology testing when you are an inpatient. I was in hospital on 2 occasions for 1 night only for cancer treatment a couple of weeks later I was sent a bill for over $1000 dollars to do the pathology results on tumour, was never told this at any time and had Top Hospital cover ...have checked and most other providers cover the bill fully....private health cover is a rip off next time would just go through public system and save a fortune.
Horrible service after sign up
Always waiting on the phone.
Always getting transferred to multiple departments.
They can't seem to process the switch over properly.
Told me there would be no waiting period & yet the policy summary has multiple waiting periods.
Staff knowledge is questionable.
Service after sign up is terrible.
The policy was easy to setup and the policy is a fair policy compared to others (although still so unreasonably expensive) and they are the good thing about it.
After signup - I don't how many time I have called to get them to process the transfer statement correctly. I have wasted so many hours on the phone with them and their phone queue is terrible. Now I have joined the policy for a month now and they STILL have not processed the transfer statement correctly. I really have lost my faith in them to process something correctly. And the...
Questions & Answers
If I pay for 12month cover before the April 1st can I get it at the current rate rather than the rate from April 1st.
Generally you can. However please don’t hesitate to send us a private message so that we can check your premium for you. Thanks, Anna
My husband has throat cancer. We can have the operation immediately if we pay the specialist $5000. Could we get any kind of medicare rebate on the amount as we are both elderly but in otherwise good health. My husband is in pain and the waiting list has lengthened due to the corona virus.
Well I take it you don’t have private health cover, I did and was basically forced into public If your catagory1 like me they said we must do within 30 days perhaps sera a more sympathetic doctor and beg him to get to catorgy 1 they cannot watch him die
Thanks for getting in touch. I just sent you a private message to see if there is anything we can do to help.
Please note, if your question was intended for Medicare please get in touch with Medicare at https://www.servicesaustralia.gov.au/individuals/contact-us.
Hi Anna, thank you for your message. The surgical team at John Hunter Hospital at Newcastle has taken care of my husband and he is down for surgery next Friday and it will be fully funded by Medicare. The relief for both of us has been dramatic. Hilda
Why do medibank doesn't have claims via email? It is always not possible for us to go to stores or post at this stage and submit our claims. It would help customers if you have some generic email to submit claims which other insurance companies offer like BUPA?
Thanks for your question. Most claims can be submitted via the My Medibank app.
If you need help accessing your online account, please don’t hesitate to send us a private message or contact our Contact Centre on 132 331 from 8 am to 8 pm Monday to Friday & Saturdays 9 am to 4 pm (AEST) for assistance. Thanks,
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